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MHCD Solutions

April 15, 2019

Read The Full Prompt

(NOTE: The Open Knowledge site is, as its name suggests, open to be viewed by the public.  When completing this assignment, please be aware that–although only members of the group can post to this site–the content of the site is available to the general public.)

Part 1: Issue/Problem Identification (Due by Monday, April 15, 2019)

Now that we have completed our second module (Manage for Performance), we ask you to describe an issue or problem that has been particularly challenging for you or your organization.  What has been troubling you at work?  Are there any changes would you like to make but have been  struggling to figure out how, when, or where to start?  The issue or problem you propose can be drawn from a wide range of areas, such as operations (e.g., improving flow of patients through radiology or the ED), leadership (e.g., improving organizational or team performance), strategy (e.g., building a disease-specific clinical program), or any other discipline we have examined in the program.

The problem you propose should be one that you have not yet “solved” and that, in your view, could benefit from the input from your MHCD colleagues. Whatever you do, don’t let your current lack of an “answer” discourage you from proposing an issue; in fact, such issues are precisely the ones we would like you to bring forward. Perhaps your problem is one that others have experienced in a similar form within their own organizations.  You won’t know unless you offer up the challenge.

A paragraph or two (typically a 300-500 words) should be sufficient to describe your problem. Feel free to use any visuals (e.g., charts, exhibits, web links to video) that would help others grasp the nature of your challenge in a clear and concise manner.

This part of the assignment is due by Monday, April 15.

Part 2: Commenting on Problems (Due by Wednesday, May 1, 2019)

Using the commenting function in Open Knowledge, please provide your comments or advice on at least five (5) issues or problems proposed by others.  Are there examples that you might suggest they look to in trying to develop a solution?  Are there individuals that you might suggest they contact? Are there ways in which you might suggest that they refine the statement of their problem? Again, please remember that your comments are open to be viewed by the general public.

Please complete your five required comments by Wednesday, May 1.  Of course, we would like you to comment on as many proposals as possible, so please don’t see five as a limit.

Also, please use the site to engage in back-and-forth discussions (e.g., those who propose solutions should feel free to react to the comments and suggestions of others in the interest of getting a dialogue going). You never know who might get enticed to enter a given discussion. Your participation will ensure that as many participants as possible get helpful feedback on their problems.  In the process of helping others, we hope you might learn from them as well.

Submitted (50)

Chronic Disease Management Strategy
Posted on April 14, 2019 at 11:45 am
The lack of integration among various silos and inadequate communication among medical providers cause delays in delivering appropriate health care services to our vulnerable patients’ population, mostly the uninsured and underinsured, resulting in poor health outcomes at a high cost. [...]
Cultural transition from a purely Corporate hospital ———-> corporate + teaching hospital
Posted on April 14, 2019 at 7:33 am
Catch 22 situation . Private hospital ---> Private + Teaching hospital transition.
The challenge of achieving a desired outcome without micromanaging
Posted on April 1, 2019 at 9:52 pm
How do you coach team members towards a desired goal without creating a sense of micromanagement?
Blue Moon Health Care
Posted on April 2, 2019 at 10:11 pm
Information as in enclosed file....
Hiring for curiosity?
Posted on April 7, 2019 at 7:19 pm
Is the hunt for 'curiosity' value adding in driving team / organizational performance?
neurosurgical staffing
Posted on April 12, 2019 at 12:49 pm
neurosurgical staffing in a three hospital region
How to maximise the potential of a multidisciplinary team?
Posted on April 15, 2019 at 10:51 am
How to break down the silos? Service providers like physicians are very used to the traditional healthcare delivery model in which  physician does everything and patients are also very used to see physicians for all kinds of issues/problems. How can [...]
Developing a Strategy for Women’s Health Ambulatory Practices while facing the Threat of a Private Equity Company
Matt Hoffman
Posted on April 12, 2019 at 8:27 am
Distribution of ob/gyn volumes by provider groups
How to Encourage Decentralized Decision Making; With Guardrails
Posted on April 15, 2019 at 3:39 pm
Decentralized decision making.
Convincing your administration to change Physician compensation plan
Posted on April 2, 2019 at 2:40 pm
Doctor, you need to work harder and harder to make the same or less
Opening up to enjoy the big picture
Personal Gloves
Posted on April 9, 2019 at 1:42 pm
I was asked to advice and help out in an interesting, but complex situation. There’s 2 fairly large hospitals in my region trying to merge but this is not an easy process. Differences in culture and payments make it tough [...]
Changing reimbursements and reducing physicians clinical revenue, can redefine the medical practice in an academic center?
Posted on April 10, 2019 at 10:26 am
Due to the changes in reimbursement and decrease in physician revenues for the hospital, different medical centers specially academic centers where time of the faculty is divided between clinical practice, teaching and research, face new challenges. So far they have [...]
Organizational Growth through acquisition and partnership–the challenge of behavior change
Posted on April 27, 2019 at 3:23 pm
Over the last decade our organization has had a phenomenonal rate of growth that has allowed to be highly succesful in the rapidly evolving healthcare economic landscape. Initial efforts were more localized and building alignment was a bit easier becuase [...]
Identify key elements of a successful discharge medication program
Lee Ann Odom
Posted on April 16, 2019 at 10:31 pm
Looking to identify key elements of a successful discharge medication program
Is there an optimal structure for leadership of a large department to better manage the normal competition between the clinical and academic missions? How to Survive in a “Highly Matrixed” Organization ?
Lance Becker
Posted on May 3, 2019 at 4:36 pm
Challenge: Is there an optimal structure for leadership of a large department to better manage the normal competition between the clinical and academic missions? How to Survive in a “Highly Matrixed” Organization ? There is some natural conflict in any [...]
How to define a growth strategy when all drivers are fixed ?
Last modified on April 16, 2019 at 3:04 am
National healthcare is completely fixing the drivers, new industry challenges are are popping up, hospital networks have to be formed and at the same you need to develop sustainable growth... How to deal with this complex game setting ?
Culture eats strategy for breakfast
Lemi Leba
Posted on April 8, 2019 at 11:22 pm
We have been working on a cultural and organizational transformation. Our strategy at global and regional level is to move from product & transaction based engagement to solutions & long term partnership based engagement with our clients. This requires a [...]
Improving Bed Turnover/Throughput – Environmental Services
Jeremy Essman
Posted on April 8, 2019 at 3:00 pm
How many EVS FTE's and shifts are required to achieve best practice of bed turnover in 60min.
Silo Mentality- Difficult to Work With, Difficult to Remove
HBS Participant
Posted on April 11, 2019 at 4:08 pm
Silos do not exist just on farms.
Best way to incorporate mid level providers into existing physician workflow and utilizing them to best capture all ICU billing opportunities
Last modified on April 15, 2019 at 9:27 pm
Blending mid level providers into an established workflow and best way to capture billing opportunities
New medical center concept
Posted on April 17, 2019 at 2:39 am
I'm deciding what type of clinic should I open in a very competitive environment.
My struggles with improving quality and clinical outcomes in Interventional Cardiology Department in a large tertiary care hospital!
Posted on April 15, 2019 at 7:06 pm
Leading changes within a cardiovascular service line at a hospital
How to keep doctors motivated in a changing salary-culture?
marc nahuijs
Last modified on April 13, 2019 at 8:35 am
Medical versus financial performance in a merge of hospitals
Dyad Leadership
DYAD leadership
Posted on April 22, 2019 at 4:30 pm
Wanted: Roadmap for Effective Dyad Leadership
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